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08030110CITY OF CUPERTINO BUILDING DIVISION PERMIT 4`CONI'RAC'TORINFORMATION >k �sa`k:'�{�'q, e. a. Te�'('iil rte¢ ✓t) haw [�. id '.�tL"ceu8 "`"fib' BUILDING ADDRESS: PERMIT NO. 10210 #B PASADENA TBD — TO BE DETERMINED 08030110 OWNER'S NAME: PERMIT ISSUE DATE JAMES DOZIER 03/20/2008 ONE: SANITARY NO. CONTROL NO, ARCHITECTIENGINEER: BUILDING PERMIT INFO -BLDG ELECTPLUMB MECH 0 0 0 0 LICENSED CONTRACTOR'S DECLARATION Sob Description 1 hereby affirm Nal 1 am licensed under previsions of Chapter 9 (commencing wimstttien 7IXIU)ofDivislon Sof me Buvness and Profebiu;Codeandroyliecomis REPLC GASLINE FRM METER in full forceand ttL Licenm Class L^,gtP -.� Dao: Con mcmr ARCHITECT'S DECLARATION -- 1 understand my plans shall be, used am public meet& .. Licensed Professional OWNER -BUILDER DECLARATION 1 Mrehy affirm that I am exempt from the Contractors License Law for the following mason. (Sudan 71131.5, Business and Pm(essfm s Code: Any city ter county which requires a permit m mmummet allay, improve, demolish, nr repair any swctura prior in substance. alfa require me applicant for such permit m Bk a signed mtemem that he is licensed to the of the Cenuocwri License Law (Chapter9 Sq. Ft. Floor Area Valuation pursuant provisions (commencing with Section TWO) of Division 3 O the Bminef and Professions Code) at $800 fest he Is exempt therefrom and the bub for the alleged exemption. Any violation of Number Occupancy e p yTYP Section 7031.5 by any applicant for a permit subjects the applkanu0 a civil penalty of net mere man five hundred dollars (55W) 35718022.w 0 1, u effector of the property, or my uoployem wife wages u their fete Computation. Required Inspections will the the work, and the suocmre Is not rounded u offered (ter fate (Sec. 704L Business and Prefemriens Cede, The Commerce. U. Law doe Out apply as sn owner of property who builds orimpea es thereon, and who does such work himselformmugh his awn employees, provided that such improvements are not amended oro@red for sale. If. however. the building or Improvement is sold within one year of comphtion, the owner - builder will have the burden of preving that M did nal build or improve for purpose of vd.j. 0 1, as owner of the Property, am exclusively contracting with licemud eo mucc rs b- comwu the preject (Sec. 7044. Business and Pmfeasiens Code:) The Comracmis U. come Law docs at apply to an owner of property who Wilds or improves thereon. add. who Com acts for such projects with a contracmr(s) licensed pursuant to the Camractoh Lice. Law. 0 14th eacmpt under Sec . B & P C fm this reason Owner Dam WORKER'S COMPENSATION DECLARATION 1 hereby slain under penalty of perjury one of the following declarsdans: 1 hire aha will maintain a Certificate of Consent to self -Wort for Worker Court len. u provided far by Sudan 37W of the labor Code, far me perfermenco of One work for which this permit is issued. 0 1 have and will maintain Worker's Compensation Insurance, u required by Section 37M of the Labor Code, for the performance of tha work for which this permit is issued. My Wnrke(a Compem ttion Insure. artier and Policy number Carrier. Policy No.: CERTIFICATE OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE flbb inion need not be completed if um permit Is (sane hundred dollen (SIM) or kv.) I certify that in the perfmmance of the warm for which this permit Is issued, l shall not , employ any'pcecon in any maoncr bee VuWcV (&WOrkers'Cempcnsauen Laws ter Cali( Dem O NOTICE NT: If, e e making this NOTICE TOA of Exemption, you should a or became subject re the Workers b4 previsions pTA$nns of me labor Dade, you most 13 Of this foMwife comply with such previdens orfebpefmit (hall be ticomcd revoked. CONSTRUCTION LENDING AGENCY I bemhy a1Brtn mat Nem rs a construction lending agency far me perfmmsna of to work fur which this permit is issued (Sec. 3097, Civ. C.) ' Lender's Name , Lender's Addren I certify that 1 ltars mad this application and sate that me above infomudun is ceaRCL I agree in Comply with all city and county documents Nd cam Idwf Rbting in building cornu an, and hereby sumarim representative of this city acnmrupnn the aMvc-menuuned properly for inspection purposes (We) agree to fors. Indemnify ad keep bounden the City of Cupertino against liabilities, Judgments. core and expenacs which may In anyway seems against said City in consequence Of the granting of this permlt, APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON -POINT n Issued by: Date SO REGULA ONS. Re -roofs " (3?,— w Signam art AppbcanuConData HAZARDUS MATERIALS DISCLOSURE Type of Roof WIII the applicant or forum buildingm handle material m d%Sed e, Chapter Health an the Cupertino Municipal Cade, Chapter 9.11. and me Health and Safely Section code, section 155314)? All roofs shall be inspected to any roofing material being installed. ❑Yin E}laa prior If a roof is installed without first obtaining an inspection, I agree to remove Will me applicam or future building occupant use equipment or devices which ii hmdnair cmu implied ied by me Bay Area Air Quality Management all new materials for -inspection. Fair" ?mm Oyes Qlro ' I hers mad the heralloua materials tequiremenu under Chapter 6.95 of the Califer. nia Heulm &SafetyCode, Secuom15W5,15533 and 15534.1 understand motifms building docs not currently ham a mount that it Is my responsibility to notify the Occupant of me requiremenuwhichmustbemetpriormbm eencenigaaerOcapmey Signature of Applicant Date All roof coverings to be Class "B" or better Owner or mmorvadagcnl k N no a. 0 CITY OF CUPERTINO • 5 ITEMS OF 5 PERMIT RECEIPT • 0 Sec: Twp: Rng: Sub: Blk: Lot: APN ........: 35718022.OB DATE ISSUED.......: 03/20/2008 RECEIPT #.........: BS000004210 REFERENCE ID # ...: 08030110 SITE ADDRESS .....: 10210 #B PASADENA SUBDIVISION ....... CITY .............: CUPERTINO IMPACT AREA ....... OPERATOR: patg COPY # : 1 METHOD OF PAYMENT ----------------- CREDIT CARD TOTAL RECEIPT AMOUNT --------------- 253.27 --------------- 253.27 VOICE ID DESCRIPTION -------- ----------------------------r 106 SEWER & WATER 507 FINAL PLUMBING REFERENCE NUMBER -------------------- AMEX VOICE ID DESCRIPTION ---------------------------- 301 ROUGH PLUMBING OWNER ............: JAMES DOZIER ADDRESS ..........: 27028 LINDY LN CITY/STATE/ZIP ...: CUPERTINO, CA 95014 RECEIVED FROM ....: BRAD'SCHUE CONTRACTOR .......: TBD - TO BE DETERMINED LIC # 00096 COMPANY ..........: TBD - TO BE DETERMINED ADDRESS ..........: CITY/STATE/ZIP .... , TELEPHONE ........: FEE ID UNIT QUANTITY AMOUNT PD -TO -DT THIS REC NEW BAL ---------- ----------------------- ---------- ---------- ---------- ---- 1BSEISMICR VALUATION 800.00 0.50 0.00 0.50 0.00 1BUSLIC FLAT RATE 1.00 110.00 0.00 110.00 0.00 1PGASRES OUTLETS 1.00 61.19 0.00 61.19 0.00 1PPERMITFE FLAT RATE 1.00 40.79 0.00 40.79 0.00 1TRAVDOC FLAT RATE 1.00 40.79 0.00 40.79 0.00 TOTAL PERMIT -------- 253.27 ------- 0.00 ---------- ---------- 253.27 0.00 METHOD OF PAYMENT ----------------- CREDIT CARD TOTAL RECEIPT AMOUNT --------------- 253.27 --------------- 253.27 VOICE ID DESCRIPTION -------- ----------------------------r 106 SEWER & WATER 507 FINAL PLUMBING REFERENCE NUMBER -------------------- AMEX VOICE ID DESCRIPTION ---------------------------- 301 ROUGH PLUMBING 0 CITY OF CUPERTINO REPIPE/SEWER/MAIN SERVICE PERMIT APPLICATION FORM *3 011 C) APN# 5-7/ Oa� D� Fee ID e3v�b—U9, 7 Building Address: Permit Type 1 o.ak O �P�3�PQEN(� Owner's Name: Group Phone #: y.b Contractor:1 3,c�o 1PCSEWER Phone#: qb1-3938 SC.hv� 1CPSS Fax #: Contact: sewer/sanitary sewer Phone #: f�M'L Fax #: Contractor License #: S 3 55 P Cupertino Business License #: Job Description: Commercial Gas Piping System Residential Commercial ❑ Valuation: O Green Building Check list must be completed and attached to this application. Green Building Points: Quantity Fee ID Fee Description Fee Permit Type Group 1PCSEWER Commercial building P 1CPSS sewer/sanitary sewer 1BPREPIPE Commercial re -pipe per fixture P 1CPRP 1PGASCOM Commercial Gas Piping System P 1-4 Outlets 1BSEISMICOM Seismic Commercial P 1BSEISMICR Seismic Residential P 1PRSEWER Residential building P 1RPSS sewer/sanitary sewer CITY OF CUPERTINO REPIPE/SEWER/MAIN SERVICE FEESCHEDULE Quantity Fee ID Fee Description Fee Group Permit Type IPRREPIPE Residential re -pipe per fixture P 1RPRP 1BPWSVCS Water Service P 1CPWS or 1RPWS 1PPRSEWG Private Sewage Disposal System P 1PCESS Cesspool P IBPWATER Install/alter Water Pipe P 1BPFIXTURE Plumbing Fixture P / / 1PGASRES Residential Gas Piping System 1-4 Outlets P 1BPGAS Gas Piping System 5+ Outlets P / 1 PPERMITFEE Plumbing Permit Fee Issuance P IPLMBLNCK Plumbing Plan Check P 1PLMBINSP Other Plumbing/gas Insp. P / ITRAVDOC Travel & Documentation Fee B IBUSLIC Business License B ] • • • Singte Family dela .'3 Checklist d. 3 '�� -"� The GreenPDlnt Chaddisl is based on the various green features incorporated into the home and is the basis for the GreanPolnt Rated program. A home can be considered green If It fulfills the prerequisites, cams at least 50 points, and masts the minimum points par category. Energy (30), Indoor Air Quality/ Health (5), Resources (6), and Water (9). Please contact Build It Green for a list of qualified GreenPoint Raters it you are interested In pursuing third -party verification. The green building practices listed below are described in the New Home Construction Green Building Guidelines, available at www.huiltlttgrean.om, Build It Creed Sman soluriom From The Ground Up iii-��i;R B. FOUNDATION I Points Available Per Measure ❑ ❑ 1. Replace Portland Cement in Concrete with Recycted Flyash or Slag a. Minimum 20%Flyash or Slag In. Minimum 25% Flyash or Slag 1. Construct Resource -Efficient Landscapes a. No Invasive Species listetl by Cel -IPC Are Retied b. No Plant Spacles Will Require Hadging 0.75% of Plants Are Drought -colorer California Natives, Mediterranean, or Other Appropriate Species 0 0 1 ❑ 2. Use Frost -Protected Shallow Foundation in Cold Areas (C.E.C. Climate Zone 16) 0 ! 3 ❑ 3. Use Radon Resistant Construction (In At -Risk Locations Only) D 1 ❑ 4. Design and Build Structural Past Controls a. Install Termite Shields & Separate All Exterior Wood.toConcreb, Connections by Metal or Plastic FastanersNividem 3, Minimlae Turf Areas in Landscape Installed by Builder a. All Tud Will Have a Water Requirement Less than or Equal to Tall Fescue (50.6 plant factor b. Turf Shall Not Be Installed on Slopes Exceeding 10% or In Area Less than a Feel W de0 c, Tud Is 03%a% M Landscaped Area (food 2 points) d. Tud i"I D% of Landscaped Area (total 4 points) a. Place Rafters antl Studs at 244nch On Center Freming to. Size Door and Window HBadBrs for Load 0 j b. All New Plants Have Trunk Base, or Stam Located At Least 36 Inches from Foundation 0 I 1 Total Points Available in Foundation =B 0 C. LANDSCAPING Points Avallahle Per Manure =31 ❑ ❑ ❑ 1. Construct Resource -Efficient Landscapes a. No Invasive Species listetl by Cel -IPC Are Retied b. No Plant Spacles Will Require Hadging 0.75% of Plants Are Drought -colorer California Natives, Mediterranean, or Other Appropriate Species D. STRUCTURAL FRAME @ BUILDING ENVELOPE - _ 0 0 I 1 _ _ 0 ❑ 2, Use Fire -Safe Landscaping Techniques 0 1 1 'A ❑ ❑ El ❑ 3, Minimlae Turf Areas in Landscape Installed by Builder a. All Tud Will Have a Water Requirement Less than or Equal to Tall Fescue (50.6 plant factor b. Turf Shall Not Be Installed on Slopes Exceeding 10% or In Area Less than a Feel W de0 c, Tud Is 03%a% M Landscaped Area (food 2 points) d. Tud i"I D% of Landscaped Area (total 4 points) a. Place Rafters antl Studs at 244nch On Center Freming to. Size Door and Window HBadBrs for Load 0 j 2 _ __L _', __ _ 1 _ _ ! 0 � 7 I_ _ 2 _ 2 _ _T. _ _I 0 I 2 ❑ 4. Plant Shade Trees '0 1 3 ❑ ❑ E] ❑ 5. Group Plan%by Water Needs (Hydrosonin S. Install High -Efficiency Irrigation Systems a. System Uses Only Low -Flow Drip, Bubblers, or Low -fin Sprinklerso b. System Has Smart Controllers 7. Incorporates Two Inches of Compost in the Top 6 W 12 Inches of Soil / L/ C-- n 0 2 2 ___ _ D — VID 3 3 71c. ❑ ❑ B. Mulch AIL Planting Bede to the Greater of 2Inches or Local Water Ordinance Requirement AR 'O' ?DOB I 2 ��' 9. Use 50%Salva ed or Recycled Content Mash ala for 5D% of Non -Plant Landscaa Elements _. 1 ___ ❑ I. Oriented Strand Board for Sucloor LJ 10. Reduce Light Pollution by Shielding Fixtures arl Directing Light Downward ( 1 02007 Build It Green Single Family Greer -Point Checklist 2007 Version Page 1 of 4 Total Pointe Avallahle In Landscaping =31 f1it-A 'I D. STRUCTURAL FRAME @ BUILDING ENVELOPE - \ 1 Points Available Per Measure 1. Apply Optimal Value Engineering 'A ❑ ❑ a. Place Rafters antl Studs at 244nch On Center Freming to. Size Door and Window HBadBrs for Load ❑ c. Use Only Jack and Cripple Studs Required for Load ❑ F-1 2. Use Engineered Lumber e. Beams and Headers I. Insulated Engineered Headers j---T— p 1 J—__ 71c. ❑ ❑ WoodW% oisor Web Tmssesfor Floors it. Wood lJJoists for Pool Rafters D. Engineered or Finger -Jointed Studs for Vertical Applications AR 'O' ?DOB 0 ��' _. 1 ___ ❑ I. Oriented Strand Board for Sucloor D _ Elp. Oriented Strand Board for Well and Roof Sheathing 0. �r 1 3. Use FSGCertiFled Wood ❑ a. Dimensional Lumber, Studs and Timber. Minimum 40% 0 _ 2 _ E]b. Dimensional Lumber, Studs and Timber. Minimum 70% 0 - ;--- i ❑ c. Panel Products: Minimum 40°6 ❑ d. Panel Proctors: Minimum 70% 0 __- I 1 I 02007 Build It Green Single Family Greer -Point Checklist 2007 Version Page 1 of 4 G. PLUMBING Points Available Pal Ideasure 1. Design and Install HVAC System to ACCA Manual J, D. and S Recommendations 1. Distribute bomutie Hot Water Efficiently (Maximum 7 Points) , 1 4 0 1 ❑ a. Insulate HM Water Pipes from Water Heater to Kitchen ❑ b. Insulate All HM Water Pipes 0 _ 2 1 ❑ c. Use Engineered Parallel Piping 0 ❑ d. Use Engineered Parallel Piping vdth Demand Controlled Circulation Loop _ 0 1 1 ❑ e. Use Slmclored Plumbing with Demand Controlled Osculation Loop _ 1 i EJ I. Use Central Core Plumbing0 —2 _� _ 1 7 ❑ 2. Install Only High Efficiency Tolets (Dual -Flush or 5128 pej D 1 1 4 Total Points Available In Plumbing = Total 12 0 H. HFATINO VENTILATION & AIR CONDITIONING Points Available Per Measure 1. Design and Install HVAC System to ACCA Manual J, D. and S Recommendations 0 1 4 2. Install Salad Combustion Units ❑ a. Rumania 0 _ 2 1 ❑ to Water Heatara 9. Install Zoned, Hydropic Radiant Heeling with Slab Edge lnsu190on 0 1 1 /. Install High Efficiency Air Conditioning with Environmentally Responsible Refrigerants 0 1 1 i S. Design and Install Effective Ductwork 0 3 ❑ a. Install HVAC Unit and Ductwork warn Cond'Noned Space ❑ b. Use Dud Mastic on All Dud Joints and Seams 0 __ E] c. Install Ductwork under Alto Insulation (Burled Ducts) 0 1 ❑ d. Pressure Balance the Ductwork System 0 1 ❑ e. Protect Ducts during Construction and Clean All Ducts bairns Occupancy 0 1 —4 LJ B. Install High Efficiency HVAC Filter (MERV 6v) 0 1 ❑ 7. Dont Install Fireplew or Install Sealed Gas Fireplaces with Efficiency Rating Not Less Than 60% D 1 using CSA Standards S. Install EflDO" Exhaust Systema in Bathrooms and Mitcham; 0 ❑ a Install ENERGY STAR Bathroom Fens Vented to the Outside ❑ It. All Bathroom Fans Are on Timer or Humidistal 0 ❑ c. Install Kli Range Head Vented to the Dulslda 0 1 1 B. Install Mechanical Ventilation System for Cooling (Maximum / Pointe) ❑ a. Install ENERGY STAR Ceiling Fane & Light Kite In Living Amas S Bedrooms 0 ❑ to Install Whole House Fan with Variable Speeds 0 ❑ c. Automatically Controlled Integrated System 0 2 1 ❑ d. Automatically Controlled Integrated System with Variable Speed Control 10. Install Mechanical Frash Air Ventilation System (Maximum 0 Points) ❑ a. Any Whole Hoose Vanfllatan System That Masts ASHRAE 622 0 2 ❑ binstall Air-to-Alr Heat Exchanger that meet ASHRAE 62.2 0 r 1 2 11. Install Carbon Monoxide Alarm(s)0 1 Total Points Available In Hamill Ventilation and Air Concritoring = 3DI 0 0 2007 Build it Green Single Family GreenPoint Checklist 2D07 Version Page 2 of 4 0 • J. BUMDING PERFORMANCE Points Avallable Per Measure 1. Diagimur is Evatue6DIM ❑ L House Passes Blower Doer Test El b. House Passes Combustion Safety Backdrafi Test ❑ ❑ ❑ 0 0 p 3 �- 0 2DesignandBuildHighPaformenosHomes,-%above Title 24- minimum 15% Required 0 I no J. House Obtains ENERGY STAR with Indoor Air Package Certification- Film Mature (Total 45 ❑ p pointe; reetl commrurq 5 2 0 TnMI AvnneMc Pm„k in Rull,fnn PnAnrmnme e'JP n $• FDgISFDL9 Points Available Pel Measure ❑ ❑ ❑ 0 1. Design Entryways to Reduce Tracked in Contaminants 0 ( 3 p ❑ ❑ 2. Use Low-VOC or Zero.VOC Paint (Msslmum 3 Point) A Low-VDC Interim We1UCaling Prints (d0 gp VOCs (Flag and <l50 gpl VOCs (Non -Flat)) b. Zero-VOC: Interim WelitCeilin Palm d 0 VOCs(Flat)) 1--- 0 0 0 ( 1 ❑ 5. Use Low VOC, Water -Based Wood Finishes (250 BPI VOCs) - 0 i 2 [7-3, ❑ 1. Use Low-VOC Caulk and Construction Adhesives (<n girl VOCs) for All Adhesives 0 2 3. Install ENERGY STAR Refrigerator a. ENERGY STAR Qualified &< 25 Cubic Foot Capacity b. ENERGY STAR Oualified & <20 Cubic Feet Capaoty0 ❑ 5. Use Recycled -Content Paint 0 0 1 ❑ ❑ ❑ ❑ ❑ S. Use Environmental Preferable Iletedais for Interior Finish: A) FSC-CeNfied Wood, B) Reclaimed, C) Rapidly Raowmble, O) RerymMd!wramt or E) Finger-Jr,mad a Cabinet (5D% Minimum) b. Inti for Trim (5D% Minimum) c. Shelving (50% Minimum) d. Doors (50% Minimum( S. Countedops (50% Minimum) 1 p p—�-- 0 ( 7 7 ❑ ❑ ❑ ❑ 7. Reduce Formaldehyde in Interior Finish (CA Section Df350) a.Subfiow&StalrTmeds(50%Minimum) b. Cabinets& Countertops (50%Minimum)0 c. Interim Tdm(50%Minimum) tl. SheNin 50%Minimum) 0 1 J - 0 I _ _ _ 1 0 1 ---- ___ ❑ e. Aber Inatalietion of Finishes, Test of Indoor Air Showa Formaldehyde Levin d7pipt, 0 ) 3 Pnnteln FlniohPc.1iI n I L. FLOORING Pant Avallable Per Measure ❑ ❑ ❑ 0 1. Use Environmentally Profitable Flooring: A) FSC -Certified Wood, B) Reclaimed or Refinished, C) Rapidly Renewable, D) Rerych d -Conlan( E) Exposed Concrete. Flooring Adhashrs Muat Have <50 gpl VOCs e. Minimum 15% of Floer Atse o Minimum 30% of Floor Area c. Minimum 50%m Flom Area it. Minimum 75% of Flow Area 1. Install Water and Energy Efficipnl Dishwashm A ENERGY STAR (local 1 point/ b. Dishwasher Uses No Mora then 6S Gallon le itched int) p I J— 0 1--- 0 0 ( 1 ❑ 2. Thermal Mass Floors: Floor Covering Other than Carpet on 50% or Moro of Concrete Floors 0 1 [7-3, Floating Meets Sector, of 350 or CRI Green Label Plus Requirements 5D%Minimum) 0 ( 2 Tntal A.Minhln Prnrna in R—nnn-71 n I M. APPLLANCES AND LIGHTING Point Available Per Measure ❑ ❑ 1. Install Water and Energy Efficipnl Dishwashm A ENERGY STAR (local 1 point/ b. Dishwasher Uses No Mora then 6S Gallon le itched int) 0 i 0 ) 1 ❑ ❑ 2lnstall ENERGY STAR Clothes Washing Machine with Water Factor of 6 or Lease a Meets Energy Sim and CEE Tier 2 requirements (modified energy fader 2.0, Water Factor 6.D) (Intal 3 Pants) b. Meets Energy Sear and CEE Tier 3 requirements (modified energy is" 2$ Water Farad 4.5 a lass) rota) s Dint 0 1 _ ; 2 0 ❑ ❑ 3. Install ENERGY STAR Refrigerator a. ENERGY STAR Qualified &< 25 Cubic Foot Capacity b. ENERGY STAR Oualified & <20 Cubic Feet Capaoty0 0 1 4.Instsll Built-in Recycling Center 0 ❑ ❑ a. Built -In Recycling Center b. Bulla -In Composting Center - 0 1 J - Total Available • I 3. Community Design M ulluras & Local Prioddes: See the Community Planning & Design section in Chapter 4 of the New Home Guidelines for measures. Madmum 020 point for suggested measures. Local mqulrement may also be listed here. 02007 Build It Green Single Family GreenPolnt Checklist 2007 Version Page 3 of A Enter deecrmeon hen, and arta points nal for messun In Womante cabgom to he npn. Enls rkmdptioe hen, AN mat points Mill a to menum in appropnele categories to the right Enter description hen, and enter Points wall a iu menus In appropdue cetegoln m the fight. Enter daacri ?n hen, Rd mer palms WOU131e he manus in applapden 010OWN to the right. 4. Innovation: List Innovative measures that meet the green building objectives of the Guidelines. Enter up to a ..,gym..., �m ,., —hi—H rami M tin Mm One innnvwtinn Chenkllsl fnr sunnaatad measures. usino the link to the dohl ahw in water. Enter tham ption hue, and 8,4111 Total Available Points In Specific Profeet has not yet met the toilowins recommended minimum requlrementse - Total PMJect Score of At Least 50 Points - Required measures: -A3a: 50% waste diversion by weight -I2: 15% above Title 24 -NI: Incorporate Green Point Rated Checklist into blueprints - Minimum points in specific categories: -Energy (30 points) -IAWHealth (5 points) -Resources (6 points) -(Nater (9 points) 0 0 0 0 00 D 0 0 0 0 0 0 0 D D D 0 D 0 D D 0 0 o D o 05 0 0 D o 0 0 0 0 0 0 0 D 0 D D 0 0 0 01 0 0 0 0 00 D 0 0 0 0 0 0 0 D D D 0 D 0 D D 0 0 0 0 0 o D 0 42+ 66+ 43+ 5 8 B f ' U 02007 Build It Green single Famlly GreenPolnt Checklist 2DD7 Version Page of 4 - Community Development OWNER'S NAME: S P�meS Qc Z 10300 Torre Avenue C 1 Cupertino CA 95014 Cabinets & Millwork Telephone (408) 777-3228 CITY OF Fax (408) 777-3333 lCUPEkTINO Building Department • JOB ADDRESS: oa\E) a PC,-V-L PERMIT # &O l0 << � OWNER'S NAME: S P�meS Qc Z PHONE # GENERAL CONTRACTOR: CONTRACTOR: b' 6 FAX # I am not using any subcontractors:3'�-�.r�u-4., Si ature ate Please check applicable subcontractors and complete the following information: 60 SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets & Millwork Cement Finishing Electrical Excavation Fencing Flooring: Carpeting Linoleum / Wood Glass/ Glazing Heating Insulation Landscaping Lathing Masonry Ornamental Sheet Metal Painting / Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile Signature 3 ao- o1:e Date